Individual provider Active NPI

Tara Lafrance, BCBA, LBA

  • Behavior Analyst
  • Haleiwa, HI
National Provider Identifier
1215443221
Registry record updated Nov 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
361 Issued in HI
Practice address
61-133 Tutu St
Haleiwa, HI 96712-1355
Phone
(619) 733-3935
NPI assigned
Dec 28, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X BCBA-18-34146 CA
Behavior Analyst 103K00000X 361 HI Primary

Addresses

Primary practice location

61-133 Tutu St
Haleiwa, HI 96712-1355

Mailing address

61-133 Tutu St
Haleiwa, HI 96712-1355
Phone (619) 733-3935

Other practice location 1

11770 Bernardo Plaza Ct Ste 350
San Diego, CA 92128
Phone (818) 241-6780

Other practice location 2

11665 Avena Pl Ste 204
San Diego, CA 92128-2428
Phone (760) 349-4200

Other practice location 3

4025 Camino Del Rio S Ste 101
San Diego, CA 92108-4100
Phone (818) 241-6780

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
BCBA-18-34146CAMDBehavioral Analyst
361HIMDBehavioral Analyst

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1514419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669593600000",
    "number": "1215443221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61-133 TUTU ST",
            "city": "HALEIWA",
            "state": "HI",
            "postal_code": "967121355",
            "telephone_number": "619-733-3935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61-133 TUTU ST",
            "city": "HALEIWA",
            "state": "HI",
            "postal_code": "967121355",
            "telephone_number": "619-733-3935"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11770 Bernardo Plaza Ct Ste 350",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "92128",
            "country_code": "US",
            "telephone_number": "818-241-6780",
            "fax_number": "818-241-6853",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11665 Avena Pl Ste 204",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921282428",
            "country_code": "US",
            "telephone_number": "760-349-4200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4025 Camino Del Rio S Ste 101",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921084100",
            "country_code": "US",
            "telephone_number": "818-241-6780",
            "fax_number": "818-241-6853",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAFRANCE",
        "first_name": "TARA",
        "credential": "BCBA, LBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-28",
        "last_updated": "2022-11-28",
        "certification_date": "2022-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "BCBA-18-34146",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "HI",
            "license": "361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Haleiwa, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.